Pham, Truc Thanh

Pham, Truc Thanh is an sole proprietor health care provider with primary practice located at 3985 Steve Reynolds Blvd Suite K 102, Norcross GA 30093-3035. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pham, Truc Thanh can be contacted via phone (678) 367-0390.

Contact Information

Primary practice address
3985 Steve Reynolds Blvd Suite K 102 Norcross GA 30093-3035
Phone: (678) 367-0390
Fax: (678) 245-3391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 049706 Georgia

Profile Details

NPI number 1003808312
LBN Legal business name Pham, Truc Thanh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2005
Last updated May 16th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003808312 NPPES
Georgia MEDICAID 844204821A
Georgia Other 52070574-001
Georgia MEDICAID 844204821B

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